Notice of Pension Payback Program

ICR 199607-1210-001

OMB: 1210-0097

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
38417
Migrated
ICR Details
1210-0097 199607-1210-001
Historical Active 199603-1210-002
DOL/EBSA
Notice of Pension Payback Program
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/08/1996
Retrieve Notice of Action (NOA) 07/08/1996
  Inventory as of this Action Requested Previously Approved
01/31/1997 01/31/1997 05/31/1999
1,722 0 1,722
1,722 0 1,722
0 0 0

This program is designed to encourage employers to restore delinquent participant contributions to pension plans.

None
None


No

1
IC Title Form No. Form Name
Notice of Pension Payback Program

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,722 1,722 0 0 0 0
Annual Time Burden (Hours) 1,722 1,722 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/08/1996


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